Active NPI
Amy Marie Stojakovich
- Physical Therapist
- Murfreesboro, TN
National Provider Identifier
1083886352
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 7986
- Practice address
- 209 Castlewood Dr Ste B
Murfreesboro, TN 37129-5163 - Phone
- (615) 995-8986
- NPI assigned
- Mar 27, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 7986 | TN | Primary |
Addresses
Primary practice location
209 Castlewood Dr Ste B
Murfreesboro, TN 37129-5163
Mailing address
426 Woodruff CT
Murfreesboro, TN 37128-5839
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0446631 | Medicaid | TN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2001
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
426 Woodruff CT
Murfreesboro, TN 37128-5839
PO Box
Suite 290609
Nashville, TN 37229
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tennessee Luna Care Physical Therapy LLC | Physical Therapist | Current | Accepting new patients |
| Licking Rehabilitation Services Inc | Physical Therapist | Past | Accepting new patients |
Locations
5016 Centennial Blvd
Ste 200
Nashville, TN 37209
Phone (615) 212-8284
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Physical Therapist
- Nashville, TN
- NPI 1003427725
-
- Physical Therapist
- Heath, OH
- NPI 1467549857
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1206576000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1342137600000",
"number": "1083886352",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "426 WOODRUFF CT",
"city": "MURFREESBORO",
"state": "TN",
"postal_code": "371285839"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "209 CASTLEWOOD DR STE B",
"city": "MURFREESBORO",
"state": "TN",
"postal_code": "371295163",
"telephone_number": "615-995-8986"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STOJAKOVICH",
"first_name": "AMY",
"middle_name": "MARIE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-03-27",
"last_updated": "2012-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TN",
"license": "7986",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0446631",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Murfreesboro, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.